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1215547716
SEAN MICHAEL ETHERIDGE
SCARBOROUGH, ME
NPI
1215547716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2612)
Enumeration Date
2020-08-09
Last Update Date
2024-07-09
Business Address
SEAN MICHAEL ETHERIDGE PA-C
92 CAMPUS DR STE C
SCARBOROUGH, ME 04074-7229
Phone number: 207-797-5753
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Mailing Address
SEAN MICHAEL ETHERIDGE PA-C
38 ACADEMY CIR
OAKLAND, NJ 07436-2625
Phone number: 201-783-5471
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